A new technique in the correction of partial anomalous pulmonary venous drainage

Long-Term Outcomes of the Double-Barrel Technique for Superior Sinus Venosus Defect With Partially Anomalous Pulmonary Venous Connection

“…With the evolving knowledge of the complex variable anatomy, surgeons began to adapt individualized surgical techniques that will suit the different pathological variants. The procedures include: (1) simple atrioseptopexy, 24 (2) mobilization of the atrial septum, 25 (3) creation of flaps from the right atrial wall, 26-27 (4) preservation of the cavoatrial junction anastomosing the transected SVC to right atrial appendage, 9 (5) circumferential anastomosis of the right atrial appendage to the SVC preserving the cavoatrial junction, 2 (6) augmentation of the Warden’s repair using pedicled pericardium, 28 (7) modified Warden’s procedure with a right atrial appendage flap, 2 (8) single-patch or double-patch techniques using various synthetic or autogenous tissue patches, through a right atriotomy, traversing the cavoatrial junction, 8 (9) longitudinal or transverse transcaval incisions, with or without terminal SVC augmentation, 4,7 -12 (10) Cooley’s V-Y plasty, 17 (11) transverse superior venacavotomy and posterior placement of a glutaraldehyde-treated pericardial patch, 29 (12) transcaval repair using a butterfly shaped patch, 7 (13) lateral caval flap repair with concomitant autologous pericardial patch, 30 (14) single-patch fold-back technique for augmentation of the SVC, 31 (15) superior caval enlargement by right atrial edge rotation, 32 and (16) modified cavoatrial anastomosis using a posterior right atrial flap and anterior onlay pericardial patch. 28 A novel transcatheter approach was described in 2014 in cases of superior sinus venosus defect with PAPVC with limited application.…”

“…1 -34 At 30-year follow-up, SND was the commonest complication occurring mostly in patients who had double-patch technique (8.6%, n = 16), followed by 5.5% (n = 15) in patients with single-patch technique, 4.4% (n = 7) in patients in whom right atrial appendage was used, and 1.8% (n = 5) among patients with Warden's procedure. 1 -34 Propensity for double-patch technique to be associated with SND has also been noted by Stewart and associates. …”

Scimitar syndrome: Surgical approach to an unusual anatomy of the scimitar vein

“…Several methods of repair have been described for routing the scimitar vein to the left atrium. [ 1 2 3 4 5 6 ] Surgical repairs are broadly categorized as baffle repairs and repairs involving implantation of the scimitar vein into the left atrium. Implantation may be performed either directly or by interposition grafts of polytetrafluoroethylene.…”

Lateral caval flap repair of adult sinus venosus atrial septal defect: A natural novel approach

“…In recent years, the advent of ultrasonographic-endoscopic technology has opened fascinating opportunities for aspiration and biopsy of mediastinal lymph nodes through both the esophagus and the trachea, containing the invasiveness for the patients. [2][3][4] Currently, all mediastinal lymph nodes station excluding the para-aortic (station 6) are accessible by endoscopic or endobronchial ultrasonography. In 2007, Wallace and associates 5 proposed a transaortic method to reach mediastinal lymph The Editor welcomes submissions for possible publication in the Letters to the Editor section that consist of commentary on an article published in the Journal or other relevant issues.…”